系统性伤口处理方案应用在33例乳腺癌术后切口不愈中的观察  

Application of systematic wound treatment in 33 cases of breast cancer postoperative incision′s less healing

作　　者：彭青[1] 蒋琪霞[1] 周昕[1] 黄秀玲[1] 李洋[1] 

机构地区：[1]南京军区南京总医院门诊部伤口护理中心,210002

出　　处：《中华现代护理杂志》2016年第2期209-211,共3页Chinese Journal of Modern Nursing

基　　金：基金项目：南京军区总院面上课题（2015071）

摘　　要：目的 回顾性分析乳腺癌术后伤口难愈的原因,探讨系统性伤口处理方案效果与观察.方法 收集33例乳腺癌术后难愈的客观资料,回顾性分析影响伤口愈合的因素,制定局部伤口及全身干预方案,观察治疗效果.结果 33例患者中有1例失访,2例未愈（放疗后引起骨坏死）,愈合率为90%,无一例有瘢痕.治疗时间为10~56 d,平均（31.65±12.54）d.结论 运用湿性疗法结合物理辅助治疗的整体干预方法,可以避免乳腺癌术后伤口瘢痕形成,可提高治愈率及患者满意度.Objective To retrospectively analyze the reason of the difficulty of wound healing after breast cancer surgery, and to investigate the effects of systematic wound treatment. Methods The studycollected 33 cases of wounds healing difficulty after breast cancer surgery, and retrospectively analyzed the factors that hindered the recovery. The local and systematic treatment would be suggested and observed. Results In 33 cases, one patient was lost to follow-up; two cases were not healed （ bone necrosis after radiotherapy）; the healing rate was 90% and no scars occurred. The treatment time was 10 - 56 days, （31. 65 ± 12. 54） days average. Conclusions The systematic intervention method of moist therapy combined with physical therapy is effective to prevent scars, and to improve the healing rate and patients′satisfaction.

关 键 词：乳腺癌 伤口护理 切口难愈 

分 类 号：R473.73[医药卫生—护理学]